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Individual

DEBORAH LEE MCGEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
207 STORRS RD, MANSFIELD CENTER, CT 06250-1638
(860) 456-4604
(860) 456-1310
Mailing address
PO BOX 313, MANSFIELD CENTER, CT 06250-0313
(860) 456-4604
(860) 450-1310

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000986
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004129038
CT
01
060000986CT03
ANTHEM BCBS
CT
01
080147
MHN
01
134114
VALUE OPTIONS
01
16361
UBH
01
45973500
CT CARE
01
459735000
MAGELLAN
01
5217522
AETNA
01
C007612
TRICARE
01
P895486
OXFORD
Enumeration date
09/21/2006
Last updated
09/27/2011
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